34.192.94.100
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>01/24/2018</StartDate>
  <EndDate>01/31/2018</EndDate>
  <DestinationPlan>Mexico</DestinationPlan>
  <NoOfApplicants>4</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Darrell</Firstname>
    <Middlename>G</Middlename>
    <Lastname>Richardson</Lastname>
    <Age>63</Age>
    <Dob>06/08/1954</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Sheryl </Firstname>
    <Middlename>S</Middlename>
    <Lastname>Burris</Lastname>
    <Age>56</Age>
    <Dob>08/05/1961</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Madison </Firstname>
    <Middlename>R</Middlename>
    <Lastname>Smotherman</Lastname>
    <Age>27</Age>
    <Dob>11/20/1990</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Cody</Firstname>
    <Middlename>G</Middlename>
    <Lastname>Richardson</Lastname>
    <Age>26</Age>
    <Dob>04/01/1991</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/24/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>12300 fishing river road</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Missouri</State>
      <City>Liberty</City>
      <Postcode>64068</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ssburris40@sbcglobal.net</Email>
    <Phone>
      <Home>8165167038</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4356803931903917</CreditcardNumber>
      <NameonCreditcard>Sheryl S Burris</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>58.96</CreditcardAmount>
      <CreditcardCodeNumber>102</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
bc9a8104
0a7741ea
71028c1d
917c99c8
ARS-01-0038918
ARS-01-0038919
ARS-01-0038920
ARS-01-0038921
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0038918</PolicyNumber><UserName>bc9a8104</UserName><Password>bc9a8104</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0038919</PolicyNumber><UserName>0a7741ea</UserName><Password>0a7741ea</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0038920</PolicyNumber><UserName>71028c1d</UserName><Password>71028c1d</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0038921</PolicyNumber><UserName>917c99c8</UserName><Password>917c99c8</Password></PolicyDetails></RegistrationRes>